Working memory capacity and suppression of intrusive thoughts
Introduction
Most psychiatric disorders are accompanied or defined by the presence of intrusive cognitions that enter consciousness involuntarily, impair concentration, and disrupt task performance. For example, posttraumatic stress disorder (PTSD) is accompanied by a variety of intrusive cognitions including episodic memories, flashbacks, ruminative thoughts, and elaborated images (Brewin, 2003; Ehlers & Steil, 1995; Steil & Ehlers, 2000; Reynolds & Brewin, 1998). An important question concerns whether there are systematic differences between people in their general vulnerability to experience unwanted intrusive cognitions. Working memory capacity reflects individual differences in the extent to which controlled attention can be brought to bear on the execution of a wide range of tasks including the exclusion of unwanted or irrelevant material from consciousness. In a previous article (Brewin & Beaton, 2002) we showed that under experimental conditions participants with greater working memory capacity were better able to suppress thoughts of a white bear. This study tests the hypothesis that working memory capacity is also related to the ability to exclude personally relevant thoughts of the kind that are common in patients with PTSD or obsessive–compulsive disorder (OCD).
Working memory capacity is thought to reflect individual differences in the efficiency of short-term memory storage coupled with controlled attention, and is related to people's ability to maintain or bring to focus memory representations in the face of distraction or interference, to switch attention between alternative representations, and to manipulate those representations. In terms of Baddeley & Hitch's (1974) working memory model it reflects the operation of the central executive together with a short-term storage component such as the phonological loop. Working memory capacity is measured by tasks that require items to be remembered while the person is simultaneously performing a separate operation such as verifying that an arithmetic string is correct.
Recently, studies have focused on the relation of working memory to the suppression of irrelevant or distracting representations or to their removal from focus. According to this approach, inhibition or suppression are seen as effortful activities that must compete for limited resources (Conway & Engle, 1994). For example, de Fockert, Rees, Frith, and Lavie (2001) had their participants classify famous written names as pop stars or politicians while ignoring distractor faces. They demonstrated that loading participants’ working memory with a secondary task (remembering a sequence of digits) resulted in them suffering greater interference from the distractor stimuli. Rosen and Engle (1998) investigated the relation of suppression or inhibition to individual differences in working memory. They had participants learn a series of three paired associate lists, in which the initial word was always the same but the second word changed from list 1 to list 2 and then reverted to the original in list 3 (e.g., bird-bath, bird-dawn, bird-bath). In the first experiment, individuals with greater working memory capacity suffered from fewer intrusions of inappropriate list 1 responses when learning list 2, and learned list 2 more quickly. In the second experiment, these same individuals were slower to re-learn the list 3 pairs, suggesting that they had more successfully suppressed them in order to facilitate learning of the second list.
Other mental events or attentional demands provide a source of competition that could adversely affect efforts at suppression or inhibition. Klein and Boals (2001a) reported that participants with higher levels of life event stress, and higher levels of intrusive and avoidant thinking, had lower working memory capacity. Using expressive writing to reduce levels of intrusive and avoidant thinking they showed that working memory capacity could be increased (Klein and Boals, 2001b). However, the relation between working memory capacity and thought suppression appears to be bidirectional. A study by Brewin and Beaton (2002) used Wegner's paradigm, which demonstrates the inadequacy of attempts to deliberately suppress thoughts, in this case of a white bear (Wegner, Schneider, Carter, & White, 1987). During a suppression period participants were instructed not to think about a white bear and to indicate the thought's return with verbal report or bell-rings, after which there was an expression period in which they had to deliberately think of a white bear and express via bell rings each instance of the thought in the same way as before. Greater working memory capacity and greater fluid intelligence were independently related to reporting fewer intrusions in the suppression period.
It is not clear whether working memory capacity is also related to the ability to suppress familiar, personally meaningful thoughts. Numerous studies have shown that most people experience unwanted, unpleasant intrusive thoughts that are similar in form and content to those found in clinical obsessions and PTSD (e.g., Clark, 1992; Freeston, Ladouceur, Thibodeau, & Gagnon, 1991; Rachman & de Silva, 1978; Reynolds & Salkovskis, 1991). Moreover, the intrusion of such thoughts is usually associated with greater negative effect (e.g., Freeston, Ladouceur, Thibodeau, & Gagnon, 1992; Purdon & Clark, 1993), and negative mood makes it harder to suppress unwanted thoughts (Howell & Conway, 1992; Wenzlaff, Wegner, & Roper, 1988). Thus, studies of working memory capacity and thought intrusion need to assess any independent effects of negative mood on the frequency of negative thoughts.
In this study, we examined thought suppression in a normal sample using a target similar in form and content to those found in clinical populations. The difference between the number of intrusions occurring in the suppression period compared to the expression period provided a measure of the degree to which suppression has produced thought enhancement. We hypothesised that greater working memory capacity would be associated with reports of fewer intrusive thoughts in everyday life and with less thought enhancement on the suppression task, and that these associations would be independent of negative mood.
Section snippets
Participants
The sample consisted of 60 undergraduate and postgraduate students of the University of London (26 males and 34 females) ranging in age from 18 to 56 with a mean of 25.82 (SD 10.73).
Working memory capacity
Operation span with words (OSPAN) was chosen as a prototypical working memory capacity task (Turner & Engle, 1989). This task, in which participants learn under a mental load, is effortful and demanding of controlled attention. The operation strings involved participants reading aloud and performing a simple
Results and discussion
There were no differences between men and women in the overall frequency of intrusions, and the group mean on the ROII was 53.8 (). To reduce the influence of outliers on the memory and thought suppression measures, any score lying more than 3.3 SD from the mean was assigned a value one or more units higher than the most extreme non-outlier, as suggested by Tabachnick and Fidell (1996). The mean score on the measure of working memory capacity was 16.32 (range 0–38, SD 8.71). The number
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